Colorectal Cancer Screening Uptake: Differences Between Rural and Urban Privately-Insured Population.
Colorectal Cancer Screening Uptake: Differences Between Rural and Urban Privately-Insured Population.
复制标题
结直肠癌筛查吸收：农村和城市私人保险人口之间的差异。
DOI：
10.3389/fpubh.2020.532950
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发表时间：
2020
影响因子：
5.2
通讯作者：
Watanabe-Galloway S
中科院分区：
文献类型：
--
作者：
Alyabsi M;Meza J;Islam KMM;Soliman A;Watanabe-Galloway S
早期的研究调查了老年人中城乡结直肠癌（CRC）筛查的差异或使用调查。目的是比较使用私人健康保险的50-64岁农村和城市个人之间的筛查吸收情况。数据分析来自58,774名内布拉斯加州蓝十字蓝盾受益人。Logistic回归分析用于评估农村-城市和CRC筛查使用之间的关联。结果表明，农村个人使用粪便潜血试验（FOBT）的可能性比城市居民高56%，但农村女性使用FOBT的可能性低68%。很少有初级保健医生就诊的个人和农村妇女接受筛查的人数最少。为了加强CRC筛查，应制定一项政策，培训和安置农村地区的女性初级保健医生。特别是，需要多层次的干预措施，包括教育，更多的资源和政策，以增加结肠直肠癌筛查的吸收。进一步的研究是必要的，以调查农村地区的CRC筛查的障碍。
Earlier studies investigated rural-urban colorectal cancer (CRC) screening disparities among older adults or used surveys. The objective was to compare screening uptake between rural and urban individuals 50–64 years of age using private health insurance. Data were analyzed from 58,774 Blue Cross Blue Shield of Nebraska beneficiaries. Logistic regression was used to assess the association between rural-urban and CRC screening use. Results indicate that rural individuals were 56% more likely to use the Fecal Occult Blood Test (FOBT) compared with urban residents, but rural females were 68% less likely to use FOBT. Individuals with few Primary Care Physician (PCP) visits and rural-women are the least to receive screening. To enhance CRC screening, a policy should be devised for the training and placement of female PCP in rural areas. In particular, multilevel interventions, including education, more resources, and policies to increase uptake of colorectal cancer screening, are needed. Further research is warranted to investigate barriers to CRC screening in rural areas.
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